ATI LPN
ATI LPN Fundamental Exam Questions
Question 1 of 5
The nurse assesses the large raised scar on the African American patient. How should the nurse document the lesion?
Correct Answer: B
Rationale: A keloid is a raised scar that grows beyond the original wound, common in African Americans due to increased collagen production. A contusion is a bruise, a laceration is a tear, and a hematoma is a blood collection under the skin.
Question 2 of 5
The nurse is performing a dry sterile dressing change for an abdominal wound. In which direction should the nurse use a swab to clean?
Correct Answer: C
Rationale: Cleaning from the outer abdomen toward the wound prevents contamination of the sterile field by moving from the least to the most contaminated area.
Question 3 of 5
A nurse is caring for a client who has a stage 4 sacral pressure injury. The provider has prescribed mechanical debridement. Which of the following is a form of mechanical debridement that the nurse should expect the client to receive?
Correct Answer: B
Rationale: Pulsating lavage is a mechanical debridement method using a pressurized stream of fluid to remove necrotic tissue. Hydrocolloids promote autolytic debridement, enzymes are chemical, and transparent dressings do not debride.
Question 4 of 5
What type of wound heals by edges approximating with a suture?
Correct Answer: C
Rationale: Primary intention healing occurs when wound edges are brought together with sutures, minimizing scarring. Secondary intention heals open wounds, tertiary delays closure, and remodeling is a phase, not a type.
Question 5 of 5
A nurse explains that the major purpose of the use of a hydrocolloid dressing is to:
Correct Answer: D
Rationale: Hydrocolloid dressings maintain a moist environment to promote autolytic debridement and healing, not to dry the wound or kill microbes directly.